Organization
ACTIVE MEDICAL CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY JOSEPH DARNELL (PRESIDENT)
(847) 836-5202
Entity
Organization
Contact information
Practice address
754 S 8TH ST, WEST DUNDEE, IL 60118-2102
(847) 836-5202
(847) 836-5209
Mailing address
754 S 8TH ST, WEST DUNDEE, IL 60118-2102
(847) 836-5202
(847) 836-5209
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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